Rising health insurance costs and the cost of living crisis are likely leading to an increase in unpaid health insurance bills in many countries. In Switzerland, a particularly drastic measure to sanction defaulting insurance payers is employed. Since 2012, Swiss cantons – who have to cover most of the bills of defaulting payers - are allowed by federal law to blacklist them and to restrict their access to medical care to emergencies.In our paper, we briefly describe blacklisting in the context (...) of the Swiss healthcare system before we examine the ethical issues involved in light of what is known about its social and health impacts. We found no evidence that blacklisting serves as an effective way of recovering unpaid health insurance contributions or of strengthening solidarity within the health insurance system. Furthermore, the ambiguous definitions of what constitutes an emergency treatment and the incompatibility of the denial of medical care with the obligation to provide professional assistance complicate the implementation of blacklists and expose care providers to enormous pressure.Therefore, we conclude that blacklists and the (partial) denial of medical care not only pose profound ethical problems but are also unsuitable for fulfilling the purpose for which they were introduced. (shrink)

Hanna Pitkin has made key contributions to the field of political philosophy, pushing forward and clarifying the ways that political theorists think about action as the exercise of political freedom. In so doing, she has offered insightful studies of the problems of modern politics that theorists are called to address, and has addressed them herself in a range of theoretical genres. She is an innovator in bringing conceptual work inspired by ordinary language philosophy to the field of political philosophy, (...) as well as a penetrating and exacting interpreter of texts who draws on the insights of psychoanalysis, gender, and historical study. This collection of her works approaches each of these dimensions of Pitkin's contributions in turn, recognizing that she typically blends these modes of engagement in much of her political theorizing. The Modern Condition and the Impetus to Theorize. At several moments in her career, Pitkin has offered sustained reflection on what aspects of modern political life prompt the impulse to theorize politics. She has also drawn out with great nuance the pitfalls that modern life and philosophy also present for that enterprise, for example, in attempts to naturalize human community or in turning to theoretical abstraction. Her study of Wittgenstein in particular structured her most penetrating study of these questions. Pitkin suggests an agenda for political theorizing to engage the dilemmas of modernity in ways that grasp the importance of paradox as a portal of insight into the modern condition, and eschews attempts at easy resolution. In keeping with this, Pitkin has herself explored a variety of conceptual paradoxes that arise in the work of other theorists (e.g., regarding freedom, interest, and obligation), each as symptomatic of modern dilemmas. In each encounter, Pitkin offers a clearer picture of the problems of political modernity and the outlines of political responses to them. Moral Philosophy, Judgment, Justice: Pitkin has turned at several points in her career to the concept of justice as one that particularly brings together questions of agency and responsibility, the insights of moral philosophy, and judgment. Characteristic of her work, her engagements with justice have drawn upon a variety of methodological resources and theoretical inspirations. Her work engages ordinary language philosophy, pedagogical practice, and textual study, to yield a complex and subtle set of observations, all of which open moral philosophy and matters of judgment to questions of action and responsibility in the exercise of political freedom. Action: Political agency and its obstacles are a key theme in Pitkin's work and a main area of her theoretical innovation. She has approached the question of political agency from several directions. In some works, she has examined the appeal of autonomy as a picture of political agency, probing in particular the gendered dimension of the fantasy of autonomy. In other works - perhaps most famously, in her work on representation - Pitkin has explored the ways that the institutional arrangements of modern liberal societies attempt to link of individual and political agency--and the pitfalls of these approaches. Finally, Pitkin has offered a picture of political freedom as maintaining the tension, between individual "parts" and collective "wholes," that these modern institutional arrangements attempt to resolve. Finally, through her groundbreaking and definitive work on Hannah Arendt, Pitkin has meditated on the political and social conditions that most impede our ability to grasp agency as a practice of political freedom, and gestured to paths that may lead forward. (shrink)

There are perceptual states whose representational content cannot even in principle be conceptual. If that claim is true, then at least some perceptual states have content whose semantic structure and psychological function are essentially distinct from the structure and function of conceptual content. Furthermore the intrinsically “orientable” spatial character of essentially non-conceptual content entails not only that all perceptual states contain non-conceptual content in this essentially distinct sense, but also that consciousness goes all the way down into so-called unconscious or (...) subpersonal mental states. Both my argument for the existence of essentially non-conceptual content and my theory of its structure and function have a Kantian provenance. (shrink)

I clarify some ambiguities in blame-talk and argue that blame's potential for irrationality and propensity to sting vitiates accounts of blame that identify it with consciously accessible, personal-level judgements or beliefs. Drawing on the cognitive psychology of emotion and appraisal theory, I develop an account of blame that accommodates these features. I suggest that blame consists in a range of hostile, negative first-order emotions, towards which the blamer has a specific, accompanying second-order attitude, namely, a feeling of entitlement—a feeling that (...) these hostile, negative first-order emotions are what the blamed object deserves. (shrink)

Hanna Pitkin argues that Wittgenstein's later philosophy offers a revolutionary new conception of language, and hence a new and deeper understanding of ourselves and the world of human institutions and action.

Robert Hanna presents a fresh view of the Kantian and analytic traditions that have dominated continental European and Anglo-American philosophy over the last two centuries, and of the connections between them. But this is not just a study in the history of philosophy, for out of this emerges Hanna's original approach to two much-contested theories that remain at the heart of contemporary philosophy. Hanna puts forward a new 'cognitive-semantic' interpretation of transcendental idealism, and a vigorous defense of (...) Kant's theory of analytic and synthetic necessary truth, making this compelling reading for all who are interested in these fundamental philosophical issues. (shrink)

It is generally agreed that the method of explication consists in replacing a vague, presystematic notion (the explicandum) with a precise notion (the explicatum) formulated in a systematic context. However, Carnap and others who have used this and related terms appear to hold inconsistent views as to what constitutes an adequate explication. The central feature of the present explication of 'explication' is the correspondence condition: permitting the explicandum to deviate from some established "ordinary-language" conventions but, at the same time, requiring (...) that the explicatum correspond (via an effective translation) to the chosen "definitive intension" of the explicandum. (In effect, the first stages of an explication provide an informal characterization of a vague and possibly inconsistent language convention.) The present account of explication contrasts sharply with that sketched by Quine in Word and Object (although Quine accepts a correspondence condition of a sort). The terms `explication 1 ' and `explication 2 ' are used to indicate these quite different senses of the term. In Kaplan's terminology, explication 1 is intended to remedy "external vagueness" while explication 2 is intended to remedy "internal vagueness.". (shrink)

I argue that addiction is not a chronic, relapsing, neurobiological disease characterized by compulsive use of drugs or alcohol. Large-scale national survey data demonstrate that rates of substance dependence peak in adolescence and early adulthood and then decline steeply; addicts tend to “mature out” in their late twenties or early thirties. The exceptions are addicts who suffer from additional psychiatric disorders. I hypothesize that this difference in patterns of use and relapse between the general and psychiatric populations can be explained (...) by the purpose served by drugs and alcohol for patients. Drugs and alcohol alleviate the severe psychological distress typically experienced by patients with comorbid psychiatric disorders and associated problems. On this hypothesis, consumption is a chosen means to ends that are rational to desire: Use is not compulsive. The upshot of this explanation is that the orthodox view of addiction as a chronic, relapsing neurobiological disease is misguided. I delineate five folk psychological factors that together explain addiction as purposive action: strong and habitual desire; willpower; motivation; functional role; and decision and resolve. I conclude by drawing lessons for research and effective treatment. (shrink)

Most punishment theorists seem to accept the following claim: punishment is intended to harm the punishee. A significant minority of punishment theorists reject the claim, though. I defend the claim from objections, focusing mostly on recent objections that haven’t gotten much attention. My objective is to reinforce the already strong case for the intentions claim. I first clarify what advocates of the intentions claim mean by it and state the standard argument for it. Then I critically discuss a wide variety (...) of objections to the claim and to the standard argument for it. (shrink)

This book is thus a battle of wits. . . . [A] vivid sketch of the conflict between two basic outlooks."—Library Journal "[O]ne leaves this book feeling enriched and challenged.

Robert Hanna argues for the importance of Kant's theories of the epistemological, metaphysical, and practical foundations of the "exact sciences"--relegated to the dustbin of the history of philosophy for most of the 20th century. In doing so he makes a valuable contribution to one of the most active and fruitful areas in contemporary scholarship on Kant.

Despite being considered the proverbial backbone of our healthcare systems, nursing still seems to struggle to scientifically demonstrate its contribution to care experiences and patient outcomes. This leads to erosive tendencies that threaten the development of the profession and its progress as an academic discipline. With this paper, we want to contribute to the theoretical discourse concerning the nature of nursing and the research into its effectiveness. We begin by outlining a set of prevailing paradoxes and their consequences relating to (...) nursing and nursing research: the issue of demonstrating its unique contribution despite a clear societal mandate; a discrepancy between subjectively experienced effectiveness and objectively ascertainable effectiveness; and a mismatch between theoretical premises of nursing and task‐oriented cultures in practice environments. Using an example of a seemingly simple nursing intervention, we intend to demonstrate the qualities and complexities of nursing. We further illustrate this by drawing on several of our research projects using theory‐based evaluation methodologies. From these illustrative examples, we distil two insights relating to nursing interventions that we consider fundamental: the nurse, as a person, is central to its unique effectiveness; and there is always an interplay between context, intervention and its intended effect. We summarise our considerations and argue the case for conceiving research designs in alignment with theoretical premises of nursing. (shrink)

Building on contemporary research in embodied cognition, enactivism, and the extended mind, this book explores how social institutions in contemporary neoliberal nation-states systematically affect our thoughts, feelings, and agency. Human beings are, necessarily, social animals who create and belong to social institutions. But social institutions take on a life of their own, and literally shape the minds of all those who belong to them, for better or worse, usually without their being self-consciously aware of it. Indeed, in contemporary neoliberal societies, (...) it is generally for the worse. In The Mind-Body Politic, Michelle Maiese and Robert Hanna work out a new critique of contemporary social institutions by deploying the special standpoint of the philosophy of mind—in particular, the special standpoint of the philosophy of what they call essentially embodied minds—and make a set of concrete, positive proposals for radically changing both these social institutions and also our essentially embodied lives for the better. (shrink)

In Our Best Interest argues that it is permissible to intervene in a person's affairs whenever doing so serves her best interest without wronging others. Jason Hanna makes the case for paternalism, responding to common objections that paternalism is disrespectful or that it violates rights, and arguing that popular anti-paternalist views confront serious problems.

Background: Today’s healthcare environment is often characterized by an ethically demanding work situation, and nursing students need to prepare to meet ethical challenges in their future role. Moral sensitivity is an important aspect of the ethical decision-making process, but little is known regarding nursing students’ moral sensitivity and its possible development during nursing education. Objectives: The aims of this study were to investigate moral sensitivity among nursing students, differences in moral sensitivity according to sample sub-group, and the relation between demographic (...) characteristics of nursing students and moral sensitivity. Research design: A convenience sample of 299 nursing students from one university completed a questionnaire comprising questions about demographic information and the revised Moral Sensitivity Questionnaire. With the use of SPSS, non-parametric statistics, including logistic regression models, were used to investigate the relationship between demographic characteristics and moral sensitivity. Ethical considerations: The study followed the regulations according to the Swedish Ethical Review Act and was reviewed by the Ethics Committee of South-East Sweden. Findings: The findings showed that mean scores of nursing students’ moral sensitivity were found in the middle to upper segment of the rating scale. Multivariate analysis showed that gender (odds ratio = 3.32), age (odds ratio = 2.09; 1.73), and parental status (odds ratio = 0.31) were of relevance to nursing students’ moral sensitivity. Academic year was found to be unrelated to moral sensitivity. Discussion and conclusion: These demographic aspects should be considered when designing ethics education for nursing students. Future studies should continue to investigate moral sensitivity in nursing students, such as if and how various pedagogical strategies in ethics may contribute to moral sensitivity in nursing students. (shrink)

I argue that denial plays a central but insufficiently recognized role in addiction. The puzzle inherent in addiction is why drug use persists despite negative consequences. The orthodox conception of addiction resolves this puzzle by appeal to compulsion; but there is increasing evidence that addicts are not compelled to use but retain choice and control over their consumption in many circumstances. Denial offers an alternative explanation: there is no puzzle as to why drug use persists despite negative consequences if these (...) consequences are not straightforwardly known. I describe the nature of the causal knowledge that one's drug use is causing negative consequences; map the conceptual landscape of denial and explain how it can block such knowledge; and explore some of the processes and mechanisms that have been studied by philosophy and the cognitive sciences and which may underpin denial in addiction, including well-established information-processing biases, motivational influences on belief formation and self-deception, and cognitive deficits with respect to insight and self-awareness. I conclude by suggesting that addiction is as much a disorder of cognition as a disorder of conation. (shrink)

The image of craving as a desire of unimaginable and irresistible force is poised to solve the puzzle of addiction: persistent drug use despite severe negative consequences. But the image is flawed. Drawing on science, philosophy, and first‐person testimony, I argue against irresistibility and develop a more nuanced, heterogeneous account of craving for drugs. Craving comes in three varieties, each corresponding to a kind of answer to the question why people crave drugs: cue‐induced, goal‐focused, and attachment‐based. This in turn grounds (...) an approach to addressing addiction that is humane and heterogeneous, moving beyond strategies that are fundamentally controlling. (shrink)

In Rationality and Logic, Robert Hanna argues that logic is intrinsically psychological and that human psychology is intrinsically logical. He claims that logic is cognitively constructed by rational animals and that rational animals are essentially logical animals. In order to do so, he defends the broadly Kantian thesis that all rational animals possess an innate cognitive "logic faculty." Hanna 's claims challenge the conventional philosophical wisdom that sees logic as a fully formal or "topic-neutral" science irreconcilably separate from (...) the species- or individual-specific focus of empirical psychology.Logic and psychology went their separate ways after attacks by Frege and Husserl on logical psychologism--the explanatory reduction of logic to empirical psychology. Hanna argues, however, that--despite the fact that logical psychologism is false--there is an essential link between logic and psychology. Rational human animals constitute the basic class of cognizers or thinkers studied by cognitive psychology; given the connection between rationality and logic that Hanna claims, it follows that the nature of logic is significantly revealed to us by cognitive psychology. Hanna 's proposed "logical cognitivism" has two important consequences: the recognition by logically oriented philosophers that psychologists are their colleagues in the metadiscipline of cognitive science; and radical changes in cognitive science itself. Cognitive science, Hanna argues, is not at bottom a natural science; it is both an objective or truth-oriented science and a normative human science, as is logic itself. (shrink)

"Fortune is a woman, and if you want to keep her under, you've got to knock her around some."--Niccolò Machiavelli Hanna Pitkin's provocative and enduring study of Machiavelli was the first to systematically place gender at the center of its exploration of his political thought. In this edition, Pitkin adds a new afterword, in which she discusses the book's critical reception and situates the book's arguments in the context of recent interpretations of Machiavelli's thought. "A close and often brilliant (...) exegesis of Machiavelli's writings."-- The American Political Science Review. (shrink)

The potential upscaling of carbon dioxide removal (CDR) technologies to meet states’ net-zero targets may enable individuals to remove emissions by purchasing carbon removal certificates. In this paper, I argue for two concepts of individual responsibility to capture the moral responsibility of individuals to remove carbon dioxide from the atmosphere through CDR technologies. The first is that of liability, a direct responsibility to remove carbon in order to minimize one’s carbon footprint. The second is a shared political responsibility to remove (...) carbon that individuals have by virtue of being part of weak collectives responsible for mitigating climate change or by virtue of participating in structures that contribute to climate change. I argue that the concept of shared political responsibility can be used to determine how CDR technologies should or should not be implemented. Finally, I discuss how these two responsibilities are related. (shrink)

When philosophers want an example of a person who lacks the ability to do otherwise, they turn to psychopathology. Addicts, agoraphobics, kleptomaniacs, neurotics, obsessives, and even psychopathic serial murderers, are all purportedly subject to irresistible desires that compel the person to act: no alternative possibility is supposed to exist. I argue that this conception of psychopathology is false and offer an empirically and clinically informed understanding of disorders of agency which preserves the ability to do otherwise. First, I appeal to (...) standard clinical treatment for disorders of agency and argue that it undermines this conception of psychopathology. Second, I offer a detailed discussion of addiction, where our knowledge of the neurobiological mechanisms underpinning the disorder is relatively advanced. I argue that neurobiology notwithstanding, addiction is not a form of compulsion and I explain how addiction can impair behavioural control without extinguishing it. Third, I step back from addiction, and briefly sketch what the philosophical landscape more generally looks like without psychopathological compulsion: we lose our standard purported real-world example of psychologically determined action. I conclude by reflecting on the centrality of choice and free will to our concept of action, and their potency within clinical treatment for disorders of agency. (shrink)

Renaissance humanism.--Valla's Encomium of St. Thomas Aquinas and the humanist conception of Christian antiquity.--Machiavelli.

This paper argues that if the world is irreducibly stochastic, then both Salmon's S-R model of explanation and Fetzer's C-R model of explanation have the following undesirable consequence: the objective probability (associated with the model's relevance condition) of any actual macro-event is either undefined or else, if defined, it equals one--so that the event is not even a candidate for a probabilistic explanation. This result follows from the temporal ambiguity of ontic probability in an irreducibly stochastic world. It is argued (...) further that an analogous difficulty faces those theories of probabilistic causality which depend upon the notions of contributing and counteracting causes. Because of the problem of temporal ambiguity, it is not possible to objectively label a particular event as a contributing (or a counteracting) cause of some subsequent event. The argument is carried through in detail for a recent theory of probabilistic causality proposed by Paul Humphreys. (shrink)

Rebound effects on the consumer level occur when consumers’ realized greenhouse gas emission savings caused by behaviors that might be beneficial to the environment are lower than their potential greenhouse gas emission savings because the savings are offset by behavioral adjustments. While previous literature mainly studied the economic mechanisms of such rebound effects, research has largely neglected the moral-psychological mechanisms. A comprehensive conceptualization of rebound effects on the consumer level can help fill this void and stimulate more empirical research in (...) this relevant area. To this end, the paper introduces three focal dimensions of rebound effects on the consumer level: mechanism of rebound effects, product category, and consumption context. Based on this conceptualization, and integrating assumptions from the theory of moral licensing, the theory of categorization, and the construal level theory, this paper further refines the conceptualization of the moral component as an explanatory factor for rebound effects and highlights that the moral-psychological mechanisms of indirect rebound effects are more complex and diverse than the economic mechanisms. The paper outlines promising directions for future studies considering the different quantification and characteristics of economic and moral currencies that explain rebound effects on the consumer level and the strategic categorization of products and consumption contexts. (shrink)

An observation of Hume’s has received a lot of attention over the last decade and a half: Although we can standardly imagine the most implausible scenarios, we encounter resistance when imagining propositions at odds with established moral (or perhaps more generally evaluative) convictions. The literature is ripe with ‘solutions’ to this so-called ‘Puzzle of Imaginative Resistance’. Few, however, question the plausibility of the empirical assumption at the heart of the puzzle. In this paper, we explore empirically whether the difficulty we (...) witness in imagining certain propositions is indeed due to claim type (evaluative v. non-evaluative) or whether it is much rather driven by mundane features of content. Our findings suggest that claim type plays but a marginal role, and that there might hence not be much of a ‘puzzle’ to be solved. (shrink)

This paper argues that perception of one's body ‘from the inside’ provides one with an awareness of acting, and that this awareness explains a previously overlooked feature of one's knowledge of one's own actions. Actions are events: they occur during periods of time. Knowledge of such events must be sensitive to their course through time. Perception of one's body ‘from the inside’ allows one to monitor one's actions as they unfold, thereby sustaining one's knowledge of what one is doing over (...) the period of time in which one is doing it. (shrink)

On the supposition that one’s ethics and politics are fundamentally dignitarian in a broadly Kantian sense—as specifically opposed to identitarian and capitalist versions of Statism, e.g., neoliberal nation-States, whether democratic or non-democratic—hence fundamentally non-coercive and non-violent, then is self-defense or the defense of innocent others, using force, ever rationally justifiable and morally permissible or obligatory? We think that the answer to this hard question is yes; correspondingly, in this essay we develop and defend a theory about the permissible use of (...) force in a broadly Kantian dignitarian moral and political setting, including its extension to non-violent civil disobedience in the tradition of Martin Luther King, Jr; and perhaps surprisingly, we also import several key insights from Samurai and Martial Arts ethics into our theory. (shrink)

Effective treatment of disorders of agency presents a clinical conundrum. Many of the core symptoms or maintaining factors are actions and omissions that cause harm to self and others. Encouraging service users to take responsibility for this behavior is central to treatment. Blame, in contrast, is detrimental. How is it possible to hold service users responsible for actions and omissions that cause harm without blaming them? A solution to this problem is part conceptual, part practical. This chapter offers a conceptual (...) framework that clearly distinguishes between ideas of responsibility, blameworthiness, and "detached" and "affective" blame. It argues that affective blame is detrimental to effective treatment. And it suggests that affective blame can be avoided by attention to service users' past history, which directly evokes compassion and empathy. Finally, the chapter briefly considers whether the clinical stance of responsibility without blame should be adopted in non-clinical interpersonal and social contexts. (shrink)

Robert Hanna works out a unified contemporary Kantian theory of rational human cognition and knowledge. Along the way, he provides accounts of intentionality and its contents, sense perception and perceptual knowledge, the analytic-synthetic distinction, the nature of logic, and a priori truth and knowledge in mathematics, logic, and philosophy. This book is specifically intended to reach out to two very different audiences: contemporary analytic philosophers of mind and knowledge, and contemporary Kantian philosophers or Kant-scholars. At the same time, it (...) rides the crest of a wave of exciting and revolutionary emerging new trends and new work in the philosophy of mind and epistemology, with a special concentration on the philosophy of perception. What is revolutionary in this new wave are its strong emphases on action, on cognitive phenomenology, on disjunctivist direct realism, on embodiment, and on sense perception as a primitive and proto-rational capacity for cognizing the world. Hanna makes a fundamental contribution to this philosophical revolution by giving it a specifically contemporary Kantian twist, and by pushing these new lines of investigation radically further. (shrink)

ABSTRACTDespite advances in the conceptualisation of facial mimicry, its role in the processing of social information is a matter of debate. In the present study, we investigated the relationship b...

The landscape of addiction is dominated by two rival models: a moral model and a model that characterizes addiction as a neurobiological disease of compulsion. Against both, I offer a scientifically and clinically informed alternative. Addiction is a highly heterogenous condition that is ill‐characterized as involving compulsive use. On the whole, drug consumption in addiction remains goal directed: people take drugs because drugs have tremendous value. This view has potential implications for the claim that addiction is, in all cases, a (...) brain disease. But more importantly, it has implications for clinical and policy interventions. To help someone overcome addiction, you need to understand and address why they persist in using drugs despite negative consequences. If they are not compelled, then the explanation must advert to the value of drugs for them as an individual. What blocks us from acknowledging this reality is not science but fear: that it will ignite moralism about drugs and condemnation of drug users. The solution is not to cleave to the concept of compulsion but to fight moralism directly. (shrink)

This paper is about the nature of the relationship between (1) the doctrine of Non-Conceptualism about mental content, (2) Kant's Transcendental Idealism, and (3) the Transcendental Deduction of the Pure Concepts of the Understanding, or Categories, in the B (1787) edition of the Critique of Pure Reason, i.e., the B Deduction. Correspondingly, the main thesis of the paper is this: (1) and (2) yield serious problems for (3), yet, in exploring these two serious problems for the B Deduction, we also (...) discover some deeply important and perhaps surprising philosophical facts about Kant's theory of cognition and his metaphysics. (shrink)